Foreign body aspiration most commonly affects young children, with respiratory symptoms such as wheeze and cough after a choking episode. A careful history and clinical examination can identify those children that need additional investigation including bronchoscopy. However foreign body aspiration can mimic other conditions. The link between choking and subsequent symptoms may not be made by parents. We present a case with a delay in diagnosis, and discuss the appropriate management of suspected foreign body aspiration.Anwer Khan Modern Medical College Journal Vol. 6, No. 2: July 2015, P 47-49

Mollaret's meningitis is defined as a benign recurrent aseptic meningitis characterized by three to ten episodes of fever and signs of meningeal irritation lasting between 2 to 5 days, associated with spontaneous recovery. Mollaret in 1944 described this rare form of self limiting aseptic recurrent benign meningitis. It is an extremely rare condition. Till 2002 approximately 50 cases of recurrent HSV meningitis have been described in the United States and in Europe. Here a report of a patient with recurrent meningitis, which resembles the criteria of Mollaret's Meningitis, is presented.   doi: 10.3329/taj.v17i1.3489 TAJ 2004; 17(1) : 41-46

Background: Congenital heart disease is defined as a gross structural abnormality of the heart or intrathoracic great vessels that is actually or potentially of functional significance. The aim of this study was to assess the pattern of congenital heart disease.  Methods: It was a hospital based Cross-sectional study carried out prospectively in the department of pediatrics of Rajshahi medical college and hospital from July 2011 to December 2011. The study population was all the children up to 12 years of age admitted in three pediatric units of this hospital during the study period.Results: Among the 147 clinically suspected cases congenital heart disease was confirmed in 110 cases by echocardiography. Thrill was mostly present in 60.5% of VSD cases, in 42.1% of PDA, in 50% of A-V canal defect and 10% of multiple lesions patients. Palpable P2 was present in 27.9% of VSD cases, 15% of TOF, 50% of PS and 30% of multiple lesions patients. Left parasternal heave was found in 25.6% of VSD cases, 15.6% of ASD, 88.2% of TOF, 50% of PS and 40% of multiple lesions patients. Cardiomegaly was present in 5.3% of PDA, 50% of COA, 50% of PS and 20% of multiple lesions cases. Plethoric lung field with cardiomegaly & consolidation was observed in 10% of VSD and 21% of PDA cases. Cardiomegaly with consolidation was observed in 11.6% of VSD & 15.6% of ASD cases. Boot shape heart with oligamic lung was observed in 88.2% of TOF patients. Pulmonary opacity/consolidation was found in 4.7% of VSD cases.Conclusions: It appeared that incidence of CHD is quite significant in RMCH.

The clinical presentation of congenital heart disease varies according to the type and severity of the defect. Aim of the study: The aim of this study is to observe the clinical presentation and complications of different congenital heart disease. Material & Methods: It was a hospital based Cross-sectional study carried out prospectively in the department of pediatrics of Rajshahi medical college & hospital in from July 2011 to December 2011. The study population was all the children up to 12 years of age admitted in three pediatric units of this hospital during the study period. History included the presenting complaints of the patient's e.g. breathlessness, cough, palpitation, undue fatigability, bluish coloration or lips, tongue and extremities, history suggestive of cyanotic spell, feeding problem, poor weight gain, recurrent chest infection etc. Onset of symptoms and duration were noted. Chest X-ray reports were done by radiologists, ECG reports and echocardiography were done by cardiologists of RMCH. Among the 147 clinically suspected cases congenital heart disease was confirmed in 110 cases by echocardiography. Results: Total 110 patients with different types of congenital heart disease were included in this study. Male: female ratio were 2:1. the commonest lesion was VSD present in 39.1 (%) patients and single ventricle with single A-V canal defect in 0.9 (%). Rest patients had multiple lesions. The commonest presentation was recurrent chest infection which present in 69.1 (%) of patients. The commonest physical finding was anemia, present in 72.7 (%) of patients. Among 110 patients, 101 presented with different complications. Heart failure was present in total 15 cases, among them 40 (%) of VSD, 33.3 (%) of PDA and 26.7 (%) of multiple lesions patients presented with heart failure. Growth failure was observed in total 23 cases, among them 13 (%) of VSD, 21.7 (%) of ASD, 43.5 (%) of TOF, 8.7 (%) of PDA and 13.1 (%) of other patients presented with growth failure. Pneumonia was noted in 54.3 (%) of VSD, 22.9 (%) of ASD, 17.1 (%) of PDA and 5.7 (%) of other patients. Recurrent chest infection was noted in 70 (%) of VSD and 30 (%) of PDA patients. Pneumonia with heart failure was noted in 54.3 (%) of VSD, 22.9 (%) of ASD, 17.1 (%) of PDA and 5.7 (%) of other patients. Cerebral abscess occurred only in TOF cases. Conclusion: Fast breathing, chest indrawing, cough, poor weight gain, feeding problems, anemia, cyanosis, clubbing, easy fatigability, recurrent chest infection and murmur detected in routine cardiac examination